-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2010
January 01, 2010 - using clinical decision support (CDS), evaluating new processes for medication reconciliation post-discharge … Project 4: Ambulatory Medication Reconciliation Following Hospital Discharge. … The team spent 2010 collecting data. … This project is developing medication-related CDS rules for EHRs in inpatient and outpatient settings … Analysis of the data collected during the seven site visits began in 2010.
-
digital.ahrq.gov/sites/default/files/docs/activity/health_information_technology_and_improving_medication_use_2010pdf_2.pdf
August 01, 2011 - (Ongoing)
• Evaluate the impact of implementing a post-discharge ambulatory medication reconciliation … Project 4: Ambulatory Medication Reconciliation Following Hospital Discharge. … The team spent 2010 collecting data. … This project is developing
medication-related CDS rules for EHRs in inpatient and outpatient settings … Analysis of the data collected during the seven site visits began in 2010.
-
digital.ahrq.gov/sites/default/files/docs/page/patient_portals_to_health_information___using_health_it_to_engage_medicaid_chip_patients_and_families_in_health_care_5.pdf
April 05, 2012 - Use
What Different Generations Do
Online
80% search for
health information
Source:
Pew data … More than 50% of all patients who
are discharged from the inpatient
or emergency department of an … eligible hospital or CAH have their
information online within 36 hours
of discharge.
2. … More than 10% of all patients who
are discharged from the inpatient
or emergency department of an … … and more than 10% of all unique
patients admitted to the EH or CAH
inpatient or emergency department
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs021816-vawdrey-final-report-2018.pdf
January 01, 2018 - DATA SOURCES/COLLECTION: Research coordinators collect baseline and follow-up data 3 to 5 days
later … Potential influencers may be proximity to
admission/discharge or the observer effect. … International perspectives on
sharing clinical data with patients. … Quality of Race and Ethnicity Data in Electronic Health Records. … Patient-provided Data Improves Race and Ethnicity Data Quality in Electronic Health
Records.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - , certified
ambulatory EHR and the inpatient EHR and data systems in order to improve data access and … in the
inpatient EHR. … In the period during which data was flowing electronically from the inpatient to outpatient EHR, data … Initially, dataflow from the outpatient to inpatient system
was unreliable because data were often … Moreover, the outpatient prenatal data required
access through a separate tab within the inpatient
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
January 01, 2022 - Information Exchange
Voice Recognition
Care Setting
Ambulatory Setting
Inpatient … The BWH CERT-Health IT team was comprised of a methodology and data resources core and a translation … Ambulatory Medication Reconciliation Following Hospital Discharge. … Health Information Exchange , Voice Recognition
Evaluation of an inpatient … Evaluation of an inpatient computerized medication reconciliation system.
-
digital.ahrq.gov/2018-year-review/research-summary/improves-care-patients
January 01, 2018 - David Vawdrey provided inpatients with access to a patient portal and found that it increased patient … patients’ homes to the electronic health record (EHR) to ultimately support care teams in tailoring the discharge … positively to the tool and reported its potential utility to support planning and preparing patients for discharge … The research indicated that patients consider it too much work to track their health data and often lack … Patients reported use of the app led to more data-driven conversations with their doctors and increased
-
digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
January 01, 2011 - Participants include patients and their inpatient and ambulatory care providers. … drug events, erroneous discrepancies, and omissions in a patient's medication list between the time of discharge … The study will inform the question of whether electronic facilitation of inpatient MR improves completion … efforts to increase accessibility of preadmission medication lists and allow the system to integrate data … brief survey in 2010 to ask physicians about satisfaction with local tools and resources for managing inpatient
-
digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote
January 01, 2024 - consistently identify HNHC patients during care transitions results in high rates of emergency and inpatient … Ambulatory care coordination data gathering and use. … Ambulatory care coordination data gathering and use. … The role of telehealth and clinical informatics in data driven primary care redesign. … to alert primary care providers of high-risk patients’ discharge from the hospital and provide rapid
-
digital.ahrq.gov/ahrq-funded-projects/evolving-statewide-indiana-information-infrastructure-state-and-regional/annual-summary/2010
January 01, 2010 - study results; procedures performed; diagnoses assigned; transcribed reports (admission, operative, discharge … ); and inpatient, outpatient, and emergency department encounters. … As of August 2010, more than 19,000 clinicians across Indiana exchange data through the system. … for care in a variety of settings including pre-hospital care in ambulances, emergency departments, inpatient … Several HIE participants were concerned about data confidentiality.
-
digital.ahrq.gov/sites/default/files/docs/activity/an_evolving_statewide_indiana_information_infrastructure_state_and_regional_2010_pdf__2.pdf
January 01, 2010 - The system contains clinical data for nearly the entire population of the Indianapolis MSA,
patients … study results; procedures performed; diagnoses assigned; transcribed reports (admission, operative,
discharge … ); and inpatient, outpatient, and emergency department encounters. … for care in a variety of settings including pre-hospital care
in ambulances, emergency departments, inpatient … Several HIE
participants were concerned about data confidentiality.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024004-bajaj-final-report-2017.pdf
January 01, 2017 - using the Patient Buddy App and its impact on 30-day
readmissions by engaging and educating cirrhotic inpatients … Methods: Cirrhotic inpatients with caregivers were enrolled and followed for 30 days post-
discharge. … Caregivers and
patients were concordant in data entry but six did not complete data entries. … MELD, discharge sodium, discharge albumin, discharge HE, discharge
rifaximin use, discharge opioid … MELD score 18.6±8.5
Discharge Sodium (meq/L) 134.9±4.5
Discharge Albumin (g/dL) 2.9±0.64
-
digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - Six articles looked at multiple health
care settings, primarily the ED and inpatient facilities or inpatient … The second article deals with inpatient handoffs between nursing shifts. … from their
inpatient stay. … The
study used pre-post data analysis of insurance company records. … Quality Indicators (IQIs), combined with discharge data, to compare regional and local
factors involved
-
digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/tennessee
January 01, 2022 - Dictated Reports
Imaging studies
Cardiology studies
Discharge summaries
Operative reports … display (read-only)
Clinical and administrative data from multiple sources, including inpatient, … Data are sometimes translated into more standardized formats (e.g., LOINC), but the original data are … Data is housed at Vanderbilt and pushed via VPN connection. … Data Exchange Standards Used
The goal is to lower the barrier of participation by taking data in whatever
-
digital.ahrq.gov/sites/default/files/docs/page/medicaid_chip_quality_measurement_strategies__hitech__chipra__and_the_affordable_care_act_5.pdf
January 04, 2021 - for Medicaid, CHIP and Survey & Certification
Jessica Kahn, MPH
Technical Director for Health IT
Data … /performance
standards
– Integration with the Exchange
– Interoperability with other programs/data … prior to 39 completed weeks
gestation
—
0648 AMA-PCPI Timely Transmission of Transition Record
(Inpatient … Care)
—
0647 AMA-PCPI Transition Record With Specified Elements
Received by Discharged Patients (Inpatient … Owner Measure Name EHR
NA NCQA Ambulatory Care: Outpatient and Emergency
Department Visits
—
NA NCQA Inpatient
-
digital.ahrq.gov/sites/default/files/docs/activity/connecting_healthcare_in_central_2009_update_2.pdf
January 01, 2009 - evidence and evidence-based tools to improve health
care decisionmaking through the use of integrated data … The system provides a
continuum of care for its patients, including clinics, inpatient and outpatient … improvement in the timeliness of care, reduction in errors, streamlining of workflows,
improvement in data … measurements include turnaround times on chart scanning and indexing, which determines
how soon after discharge … The turnaround for charts after discharge has improved.
-
digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-tool-specifications.pdf
May 23, 2013 - FALL_DETAILS_D.DOCUMENTED_DT_TM –
FALL_DETAILS_D.FALL_DT_TM
I Admit
Dt/Tm
The inpatient admission … ENCOUNTER_D.ADMIT_DT_TM
J Discharge
Dt/Tm
The inpatient discharge date and time for
the current … Inpatient, Observation)
ENCOUNTER_D.ENCNTR_TYPE
L Age The patients age at the time of the fall, … Discharge Dt/Tm: The patient’s discharge date and time, if discharged by report run time. … Enc Type: The encounter type of the patient (Inpatient, Observation, etc.)
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_018183_weiner_pdf_3.pdf
January 01, 2011 - Participants
include patients and their inpatient and ambulatory care providers. … events, erroneous discrepancies,
and omissions in a patient’s medication list between the time of discharge … The study will inform the question of whether electronic facilitation of inpatient MR
improves completion … efforts to increase accessibility of pre-
admission medication lists and allow the system to integrate data … brief survey in 2010 to ask physicians
about satisfaction with local tools and resources for managing inpatient
-
digital.ahrq.gov/sites/default/files/docs/page/BASOW_AHRQ.pdf
October 01, 2012 - Med J 2012; 53:116. 10
Better decisions improve quality and efficiency
Random sample of 146 inpatients … The impact of evidence on Physicians’ inpatient treatment decisions J Gen Intern Med 2004; 19:402. 11 … Hospitals that used UpToDate had significantly lower risk-adjusted length of stay, on
average .167 days/discharge … )
MEDPAR
• Medicare Provider Analysis review (patient-level
discharge info)
HQA
• Hospital … Quality Alliance (publicly available data for
inpatient quality measures)
Consolidated database of
-
digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-slides-020717.pdf
February 07, 2017 - • AHRQ generates measures and data used to
track and improve performance and evaluate
progress … Specific Aim 1
18
Ways to Write Inpatient
Progress Notes
19
Randomized Controlled … oid=2.16.840.1.113883.6.96&code=31541009
Summary of Subjects,
Outcome Data, and Results
Specific … SUBJECTS
Consented 24 25
Wrote ≥ 1 note (remainder results from these) 13 18
OUTCOME DATA … (~3 min) Physician time Computer time 5 minutes Specific Aim 1 25
Summary of Subjects, ..Outcome Data